皮肤损伤多中心研究前混合模式和视频播放模式培训参研护士的效果比较

目的 探讨多中心研究前混合模式和视频播放模式培训不同地区参与研究的三级甲等医院护士掌握老年人四类皮肤损伤知识的效果,为选择适宜方法培训参研人员提供依据。方法 招募入选19个省、自治区和直辖市的34所医院为多中心研究单位,各医院按照调研工作量和纳排标准纳入参研护士,共计766名自愿选择了A和B培训方法,A组523名接受在线培训结合培训视频播放混合模式培训,B组243名接受培训视频播放模式培训。培训内容一致,包含4种皮肤损伤定义、分类标准和检查方法等内容。项目组根据培训内容设计包含20张老年人四类皮肤损伤照片为题干的60个问题试卷,于培训1周后,通过微信将在线考试卷链接推送至参训护士。2组参训护士通过手机独立答题,并在1 h内在线提交。满分为100分,统计2组参训率和参考率及平均得分。结果 A、B 2组护士参训率和参考率均为100%,2组总平均得分相近,四类皮肤损伤的平均得分差异也无统计学意义（均P>0.05）。结论 2种培训方法均有满意的参训率和参考率,培训效果相近,适用于多中心研究前不同地区医院参研护士的在职培训。

Effects of Two Training Methods in Nurses Before Participating in Multicenter Study of Skin Injury in the Elderly

Objective To explore the effect of two training methods on four types of skin injuries in the elderly for nurses from tertiary grade A hospitals in different regions before participating in multicenter study, and to provide reference for selecting appropriate training methods. Methods Thirty-four tertiary grade A hospitals in 19 provinces, or autonomous regions or municipalities were recruited as multicenter study units. A total of 766 nurses as participants were included and divided into group A and B. Nurses (n=523) in group A received online training combined with video training, and those (n=243) in group B the video training. The training content was the same in the two groups, including four types of skin injuries, stages (category), judgment basis and examination methods. A test paper of 60 questions including 20 photos of four types skin injuries in the elderly were used for evaluating the training effect through Wechat one week after the training, and nurses were required to submit the paper online within 1 hour. The rate of participating in the training and the test, and the average score was observed. Results All the nurses completed the training and online examination. The total average score and the average score of four types of skin injuries in the elderly in the two groups showed no statistical significance (all P>0.05). Conclusion The two training methods have similar effects and are appropriate for in-service training for nurses from hospitals in different regions before the multicenter study.